Provider Demographics
NPI:1619392099
Name:RILLORAZA PLASTIC SURGERY, PLLC
Entity Type:Organization
Organization Name:RILLORAZA PLASTIC SURGERY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:L
Authorized Official - Last Name:RILLORAZA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-217-4677
Mailing Address - Street 1:169 RIVERSIDE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-4246
Mailing Address - Country:US
Mailing Address - Phone:607-217-4677
Mailing Address - Fax:607-238-7728
Practice Address - Street 1:169 RIVERSIDE DR STE 300
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905-4246
Practice Address - Country:US
Practice Address - Phone:607-217-4677
Practice Address - Fax:607-238-7728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-21
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267727208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty